- RIT Solutions, Inc. (Atlanta, GA)
- Healthcare Data Analyst ( Claims , Pharmacy , SQL Data Visualization 100% remote Please ensure candidates meet the following criteria - 8-10 years of ... proven experience as a Senior Data Analyst in the healthcare industry -Strong...advanced data transformations. -Exceptional knowledge of clients' claims , pharmacy , and member files. -Demonstrated expertise… more
- Captive Resources (Itasca, IL)
- …of healthcare plans, pharmacy benefit managers, and vendors based on claims data analysis and outcomes. Provide support for other strategic initiatives ... healthcare regulations such as HIPAA. ESSENTIAL DUTIES AND RESPONSIBILITIES: Analyze healthcare claims data to identify cost drivers, potential savings, and… more
- Navvis (Madison, WI)
- …in seeking corrections from payers as needed Utilize expertise in use of large healthcare claims data sets as well as additional clinical data sets such ... as ADT files, clinical records, pharmacy data , and lab data in developing financial...our partners with increased value Use a variety of data and claims files, financial statements, patient… more
- CVS Health (Columbus, OH)
- …it all with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy ... addressing inquiries, resolving issues, and providing accurate information regarding prescription claims data and accumulator overages. + Maintains electronic… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... as needed + Ability to manage various sources of information and large data sets including pharmacy , claims and encounter data + Proficiency in compiling… more
- Access Dubuque (Dubuque, IA)
- … spend, their underlying drivers of cost, as well as MedOne's profitability. + Analyze pharmacy claims data and develop reports for operations, sales and ... 20250702 End Date 20250827 Featured Job TH Ad TH Comments **Similar Jobs** Data Integration Analyst MedOne Pharmacy Benefit Solutions Pharmacy Tech II… more
- The Cigna Group (Bloomfield, CT)
- **POSITION SUMMARY:** The Quality Review and Pharmacy Technician Audit Lead Analyst is responsible to identify pharmacy audit risks using analytical skills ... metro area and must be willing to travel for pharmacy audits up to 50% of the time. **ESSENTIAL...Performance of audits includes obtaining, analyzing, and appraising evidentiary data on which to base an informed, objective assessment… more
- Mount Sinai Health System (New York, NY)
- …1. Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... **Job Description** The Data Science Analyst III is a...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …+ Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... **Job Description** The Data Science Analyst II collaborates with...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Ascendis Pharma (Princeton, NJ)
- …Requirements What you bring + Experience - 5+ years as Business/ Data Analyst (ideally in either pharma, biotech, specialty pharmacy or similarly regulated, ... across our commercial organisation, we are hiring a Business Analyst who blends deep data analysis expertise... Analysis + Consolidate and patient Support Program, Specialty Pharmacy , claims and financial data … more
- CVS Health (Wellesley, MA)
- …assignments + Experience in documenting IT requirements and summarization + Experience with administrative claims data such as pharmacy or medical claims ... assist in new product development, create business cases from data driven strategic decision making to identify revenue risk...actions **Required Qualifications** + 2+ years of experience with pharmacy claims adjudication and NCPDP standards +… more
- Centene Corporation (Lansing, MI)
- …all or some of the following areas: claims , provider data , member data , clinical data , HEDIS, pharmacy , external reporting + Extract, load, model, ... a fresh perspective on workplace flexibility. **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex data projects… more
- WMCHealth (Valhalla, NY)
- …accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist in the implementation ... contract pharmacy relationships, including contract language, fee structures, and data setup, ensuring compliance with 340B requirements. + + Assess cost-saving… more
- Prime Therapeutics (Eagan, MN)
- …and assists with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to ... including data extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify and mitigate financial… more
- Seattle Children's (WA)
- …decision-making through data -driven insights and performance tracking. The analyst also oversees pharmacy -related contracting activities, including financial ... The Pharmacy Financial Analyst leads critical financial...analysis and financial reporting. Knowledge of Epic Willow and pharmacy claims processing. Epic certified in modules… more
- CVS Health (Woonsocket, RI)
- …implementing this newly defined process. With respect to analytical research, this Claims Analyst would work with service requesters to understand the ... a focus on adjudication or benefit knowledge + PBM experience and knowledge; Pharmacy claims adjudication + Experience preparing reports and displaying data… more
- Centene Corporation (Lincoln, NE)
- …including: data collection, validation and outcome measurement + May include: + Financial, pharmacy , claims , provider, and member data + IRS, CMS, HHSC, ... on workplace flexibility. Remote Available **Position Purpose:** Responsible for analytical data needs. Handle complex data requests, reports, and predictive… more
- CVS Health (Scottsdale, AZ)
- … data received from external vendors and used in support of prescription claims processing. Various data is received at various intervals (ie daily, weekly, ... monthly) from multiple vendors. Thorough analysis of the data is performed on a daily basis for purposes of validating its accuracy. As issues are identified, the… more
- CVS Health (Irving, TX)
- …Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data . + Experience in healthcare industry, including ... our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS...You will work with a collaborative, close-knit team on pharmacy and member specific claims data… more
- HCA Healthcare (Nashville, TN)
- …to update monthly reporting scorecard for performance guarantees. + Provide premium, claims , and administrative fee data to actuarial consultants to assist ... you want to join an organization that invests in you as a Senior Financial Analyst ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300… more
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